Mark Klimek NCLEX Pharm Questions

Mark Klimek NCLEX Pharm Questions and Answers Already Passed

Never hold the hormone for what patient? ✔✔patient who is NPO with mydexema

Addison's disease easy way to remember ✔✔Add a Sone (sone = steroid)

Best default order for click and drag order questions? ✔✔Hold ..... med Assess ..... what med does Prepare ...... the correction Call ..... or notify

Rarely if ever answer ... ✔✔call Doctor, NCLEX wants you to think critically

INR lab values ✔✔2-3, critical value if off, potential for patient to bleed. Use default order for order ?'s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify

Potassium lab values ✔✔3.5-5.3 If low it is a critical lab to worry about assess the heart and then prepare to give K if high, hold all K, assess heart (EKG), give D5W and reg insulin, call if really high, hold, assess, prepare, call STAT Get someone else involved! Dangerous!!

If question says there is pitocin running and there are complications ✔✔stop pit first then LIONpit

Pain meds in labor ✔✔know your peaks for IV, IM, PO, Subling. If baby is likely to be born when the pain med is peaking don't give! Why? Respiratory depression in baby

OB medications tocolytics ✔✔stop contractions, Brethine causes maternal tachycardia, Nifedipine (dipine - CCB) causes Hypotension and headache

OB medications oxytocics ✔✔makes labor more intense, Pitocin, Methergine, Cervidil

OB medications Fetal/Neonatal Lung meds ✔✔Betamethasone, speeds the development of the baby's lungs, given to Mom before baby is born, given IM, will increase the blood sugar of Mom

Survanta (surfactant) ✔✔given to baby after baby is born given trastracheal through the airway develops lungs

Med hints for IM injections ✔✔Look for 1's in both parts (the 1 looks like an I), guage and length, 21 g, 1 inch means IM

Med hints for SQ injections ✔✔look for 5's in both parts (the 5 looks like an S), guage and length, 25 g, 5/8 inch means SQ

Drawing up Insulin rules ✔✔R then N, Draw up R then N, NRRN the whole process

Pressurizing Insulin rule ✔✔put air into N then R , NRRN the whole process

If 70/30 insulin it is ✔✔70% N and 30% R, may have to make your own on boards, no 70/30 on the floor

Heparin is given IV or SQ NOT PO, info re: Heparin ✔✔works immediately, labs Ptt or any clotting or bleeding time, antidote: protamine sulfate, course: 21 days, pregnancy: YES (Class C pregnancy drug, use caution)

Coumadin is given PO, info re: Coumadin ✔✔takes days to work, labs ONLY PT-INR, antidote: Vit K (think Koumadin), course: forever, prengancy: NO (never use)

If a diuretic ends in the letter X it is a potassium ✔✔wasting drug plus Diurel

Baclofen/ Flexoril ✔✔muscle relaxant, think on your back loafin'! makes a patient drowsy, weak muscles, don't drink, don't drive, don't care of kids under 12 Piaget's stage Sensorimotor age 0-2, totally

When can a child give themselves their own insulin shot? ✔✔7

What 2 parts are always irrelevant in a prioritization question? ✔✔age and gender (NCLEX is testing discrimination against agism), age only important for peds

All psych drugs cause ✔✔low BP and weight change (usually gain)